NPI | 1396498598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106159) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 106159) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-01-28 |
Last Update Date | 2023-05-16 |