NPI | 1821291733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 26041) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 21857) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2016-11-04 |