NPI | 1013297498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71144) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: CA 35016) | |
Enumeration Date | 2011-08-17 |
Last Update Date | 2016-06-15 |