NPI | 1861932907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW113357) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW113357) |
101YM0800X Counselor, Mental Health (Licence: CA ASW 75702) | |
101YM0800X Counselor, Mental Health (Licence: CA 275459) | |
Enumeration Date | 2017-03-07 |
Last Update Date | 2023-08-08 |