NPI | 1104362441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW119647) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72443) |
101YM0800X Counselor, Mental Health (Licence: CA ACSW110285) | |
1041C0700X Social Worker, Clinical (Licence: CA ACSW110285) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2017-01-10 |
Last Update Date | 2023-12-19 |