NPI | 1932771151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122761) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22434) |
101Y00000X Counselor | |
Enumeration Date | 2021-07-15 |
Last Update Date | 2024-06-11 |