NPI | 1043503410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68029) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-05-18 |
Last Update Date | 2021-05-17 |