NPI | 1023366762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 77526) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-08-28 |
Last Update Date | 2021-12-08 |