NPI | 1437565280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW75553) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW75553) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2021-01-19 |