NPI | 1740598572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110335) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW 72756) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2024-10-13 |