NPI | 1740675875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88521) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62318) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2024-01-03 |