NPI | 1659049278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118955) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 86933) |
1041C0700X Social Worker, Clinical (Licence: CA 86933) | |
Enumeration Date | 2021-08-30 |
Last Update Date | 2024-06-17 |