NPI | 1013219625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW63761) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW29483) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2022-04-04 |