NPI | 1356776777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78800) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-09-04 |
Last Update Date | 2017-10-30 |