NPI | 1487990487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105447) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105447) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2023-06-16 |