NPI | 1922432541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82305) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW62950) |
Enumeration Date | 2013-08-30 |
Last Update Date | 2019-09-17 |