NPI | 1346382603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113901) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW24395) |
1041C0700X Social Worker, Clinical (Licence: CA ASW31277) | |
1041C0700X Social Worker, Clinical (Licence: CA ASW24395) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-07-10 |