NPI | 1831442532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW90746) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 36230) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2021-07-08 |