NPI | 1073797304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW64029) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 59534) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2014-10-20 |