NPI | 1023538055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW114991) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW77318) |
101YM0800X Counselor, Mental Health (Licence: CA ACSW114991) | |
104100000X Social Worker (Licence: CA ACSW77318) | |
Enumeration Date | 2017-06-21 |
Last Update Date | 2023-06-28 |