NPI | 1912488073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW89206) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
261QS1000X Clinic/Center, Student Health | |
Enumeration Date | 2018-08-27 |
Last Update Date | 2023-06-08 |