NPI | 1922357466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW103066) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: CA ASW71519) | |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2021-08-19 |