NPI | 1861056491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121943) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95334) |
104100000X Social Worker (Licence: CA 95334) | |
Enumeration Date | 2019-04-29 |
Last Update Date | 2024-04-15 |