NPI | 1740707215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW92018) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW63867) |
1041C0700X Social Worker, Clinical (Licence: CA 92018) | |
Enumeration Date | 2017-08-25 |
Last Update Date | 2023-06-28 |