NPI | 1609299957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83691) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64137) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2019-01-11 |