NPI | 1780018333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80910) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW62617) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2022-03-07 |