NPI | 1811478217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW107791) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72241) |
1041C0700X Social Worker, Clinical (Licence: CA ASW107791) | |
101YM0800X Counselor, Mental Health (Licence: CA ASW107791) | |
Enumeration Date | 2018-08-23 |
Last Update Date | 2023-12-19 |