NPI | 1063934305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95782) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78222) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2020-07-27 |