NPI | 1942757083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83204) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW66792) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2024-06-20 |