NPI | 1083348411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW108543) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW108543) |
101YM0800X Counselor, Mental Health (Licence: CA ASW108543) | |
Enumeration Date | 2022-07-12 |
Last Update Date | 2023-08-17 |