NPI | 1518334812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81104) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW67225) |
Enumeration Date | 2015-08-21 |
Last Update Date | 2018-01-19 |