NPI | 1881977544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW94029) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW69980) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2021-03-10 |