NPI | 1578866422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96418) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96418) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2023-05-09 |