NPI | 1649504465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85661) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 32872) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2009-09-25 |
Last Update Date | 2018-09-10 |