NPI | 1003561077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 111971) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 111971) |
Enumeration Date | 2022-02-17 |
Last Update Date | 2023-07-11 |