NPI | 1083949366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW88849) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW35673) |
101YM0800X Counselor, Mental Health (Licence: CA ASW88849) | |
Enumeration Date | 2009-10-05 |
Last Update Date | 2023-06-21 |