NPI | 1083167761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102857) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79981) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2023-03-24 |