NPI | 1558778845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW90057) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90057) |
Enumeration Date | 2014-07-18 |
Last Update Date | 2023-06-08 |