NPI | 1053772897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102755) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83585ACSW) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2021-08-06 |