NPI | 1477804227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82461) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36736) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2019-11-29 |