NPI | 1033431168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74616) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 60706) |
Enumeration Date | 2010-02-16 |
Last Update Date | 2021-06-16 |