NPI | 1295289312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78623) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2021-08-11 |