NPI | 1649794694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97909) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 75637) |
1041C0700X Social Worker, Clinical (Licence: 75637) | |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-07-21 |