NPI | 1326278045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73693) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 28568) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2016-10-04 |