NPI | 1033682174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104417) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85887) |
Enumeration Date | 2019-01-10 |
Last Update Date | 2022-08-18 |