NPI | 1508535089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 111492) |
101YM0800X Counselor, Mental Health (Licence: CA 111492) | |
Enumeration Date | 2021-09-08 |
Last Update Date | 2024-09-26 |