NPI | 1053741082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75032) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62840) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2019-07-08 |