NPI | 1871873802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 67586) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 30791) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2016-01-08 |