NPI | 1033414651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82355) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW67454) |
Enumeration Date | 2011-01-12 |
Last Update Date | 2024-04-19 |