NPI | 1760848014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91983) |
Additional Taxonomies | 101Y00000X Counselor (Licence: 76219) |
101Y00000X Counselor | |
Enumeration Date | 2015-12-31 |
Last Update Date | 2019-12-04 |