NPI | 1063939718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100058) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW77784) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2021-09-15 |