NPI | 1982238473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93334) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2020-02-24 |
Last Update Date | 2024-04-30 |