NPI | 1043644172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW122642) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2013-08-26 |
Last Update Date | 2024-05-21 |