NPI | 1689122921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LCSW105928) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72560) |
104100000X Social Worker (Licence: CA ASW72560) | |
1041C0700X Social Worker, Clinical (Licence: 105928) | |
Enumeration Date | 2016-09-15 |
Last Update Date | 2023-01-13 |