NPI | 1528255403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS5700) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-09-25 |
Last Update Date | 2023-04-24 |