NPI | 1306241435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83413) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW63368) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2014-10-31 |
Last Update Date | 2024-06-20 |