NPI | 1902235104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79260) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-11-07 |
Last Update Date | 2020-10-14 |