NPI | 1720688906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 85855) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
101YM0800X Counselor Mental Health (Licence: CA 85855) | |
Enumeration Date | 2020-10-28 |
Last Update Date | 2023-01-26 |