NPI | 1346658382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW67782) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW67782) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2019-05-23 |