NPI | 1689217796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108461) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91819) |
Enumeration Date | 2019-10-21 |
Last Update Date | 2023-02-13 |