NPI | 1518398155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96886) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36877) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2022-02-10 |