NPI | 1336663244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-07-21 |