NPI | 1699272666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW115292) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94253) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health (Licence: CA ACSW94253) | |
Enumeration Date | 2018-04-06 |
Last Update Date | 2023-05-22 |