NPI | 1710359518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW90520) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW69578) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2015-10-20 |
Last Update Date | 2020-01-22 |