NPI | 1063813319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW86039) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-09-05 |
Last Update Date | 2018-10-26 |