NPI | 1952748865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76293) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 27942) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2022-09-19 |