NPI | 1043878119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW84710) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW84710) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2023-10-25 |