NPI | 1033683610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW105851) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 87255) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2022-02-24 |