NPI | 1801124078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105471) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 82217) |
1041C0700X Social Worker, Clinical (Licence: CA 105171) | |
1041C0700X Social Worker, Clinical (Licence: CA ASW33253) | |
Enumeration Date | 2009-11-30 |
Last Update Date | 2024-09-10 |