NPI | 1598045429 |
---|---|
Former Name | CAMERON BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 63999) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 31145) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2014-10-20 |