NPI | 1477969079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW90858) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101Y00000X Counselor | |
104100000X Social Worker | |
Enumeration Date | 2014-07-03 |
Last Update Date | 2020-10-14 |