NPI | 1407083678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24616) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 24616) |
101Y00000X Counselor (Licence: CA LPC391) | |
Enumeration Date | 2009-06-16 |
Last Update Date | 2014-06-04 |