NPI | 1952978777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114614) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW88747) |
Enumeration Date | 2021-06-09 |
Last Update Date | 2023-05-01 |