NPI | 1902948755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69667) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 28766) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2016-01-28 |