NPI | 1952752792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118675) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA ASW77623) | |
1041C0700X Social Worker, Clinical (Licence: CA ASW115297) | |
Enumeration Date | 2016-06-22 |
Last Update Date | 2023-10-24 |