NPI | 1316557440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 103318) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 103318) |
172V00000X Community Health Worker | |
Enumeration Date | 2020-08-04 |
Last Update Date | 2023-06-26 |