NPI | 1619378288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW99745) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA ASW72480) | |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-09-15 |
Last Update Date | 2021-05-03 |