NPI | 1700137247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96875) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
Enumeration Date | 2012-09-24 |
Last Update Date | 2020-11-03 |