NPI | 1063988517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126476) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW96111) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2024-10-03 |