NPI | 1770891764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79271) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: CA 35660) | |
Enumeration Date | 2010-09-23 |
Last Update Date | 2022-10-07 |