NPI | 1770889628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW27259) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical | |
101YP2500X Counselor, Professional (Licence: CA LPCC1201) | |
Enumeration Date | 2011-02-09 |
Last Update Date | 2017-03-07 |