NPI | 1720487234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90332) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90332) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2014-08-20 |
Last Update Date | 2021-03-08 |