NPI | 1326423393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92527) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
104100000X Social Worker (Licence: CA 67939) | |
1041C0700X Social Worker, Clinical (Licence: CA 92527) | |
Enumeration Date | 2015-07-20 |
Last Update Date | 2024-05-07 |