NPI | 1447605696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86129) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 68394) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2022-08-05 |