NPI | 1053855346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW105654) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW75101) |
Enumeration Date | 2016-12-06 |
Last Update Date | 2024-07-11 |