NPI | 1326699224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99358) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 99358) |
104100000X Social Worker | |
Enumeration Date | 2019-09-23 |
Last Update Date | 2023-08-08 |