NPI | 1457632333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81084) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW62940) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2018-03-13 |