NPI | 1083265623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102442) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 102442) |
Enumeration Date | 2019-09-25 |
Last Update Date | 2024-05-24 |