NPI | 1295203719 |
---|---|
Other Name | ALICE LOOMIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW111680) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW84905) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
104100000X Social Worker (Licence: CA ACSW84905) | |
1041C0700X Social Worker, Clinical (Licence: CA LCSW111680) | |
Enumeration Date | 2018-11-02 |
Last Update Date | 2023-10-12 |