NPI | 1053896498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102394) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 83258) |
Enumeration Date | 2018-10-02 |
Last Update Date | 2021-08-24 |