NPI | 1629211453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 13396) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS 13396) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2022-04-19 |