NPI | 1083081897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 94729) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
1041C0700X Social Worker Clinical | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2015-08-27 |
Last Update Date | 2021-12-08 |