NPI | 1659528875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 28432) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 23470) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2013-01-31 |