NPI | 1033439625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW75898) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW34333) |
Enumeration Date | 2010-06-04 |
Last Update Date | 2019-04-29 |