NPI | 1669998209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125251) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78793) |
1041C0700X Social Worker, Clinical (Licence: CA 117871) | |
1041C0700X Social Worker, Clinical (Licence: CA 78793) | |
Enumeration Date | 2017-08-15 |
Last Update Date | 2024-08-19 |