NPI | 1487963435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW84922) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW64832) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2010-09-24 |
Last Update Date | 2022-08-04 |