NPI | 1104044452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114406) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA ASW81979) |
101YM0800X Counselor, Mental Health (Licence: CA ASW81979) | |
1041C0700X Social Worker, Clinical (Licence: CA ASW81979) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2023-03-23 |