NPI | 1922412071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100488) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90958) |
1041C0700X Social Worker, Clinical (Licence: NC P008770) | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2021-04-20 |