NPI | 1013459205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93253) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 71034) |
Enumeration Date | 2016-11-06 |
Last Update Date | 2021-12-20 |