NPI | 1104943166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS26236) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW13110) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2017-01-27 |