NPI | 1043354533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 26782) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 26782) |
101YP2500X Counselor Professional (Licence: CA 26782) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2016-06-09 |