NPI | 1104950310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101538) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 30317) |
1041C0700X Social Worker, Clinical | |
1041C0700X Social Worker, Clinical (Licence: CA 76753) | |
101YM0800X Counselor, Mental Health (Licence: CA ASW18018) | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2024-10-06 |