NPI | 1104259274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW78818) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW62337) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2017-08-15 |