NPI | 1093480014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126878) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 104453) |
225400000X Rehabilitation Practitioner | |
101YM0800X Counselor, Mental Health (Licence: CA 104453) | |
Enumeration Date | 2021-08-11 |
Last Update Date | 2024-10-23 |