NPI | 1023368990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 36438) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: CA 36438) | |
Enumeration Date | 2012-09-18 |
Last Update Date | 2015-05-12 |