NPI | 1710260351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW71146) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW31819) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2016-05-12 |