NPI | 1114215621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87498) |
Additional Taxonomies | 104100000X Social Worker |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2011-07-18 |
Last Update Date | 2024-06-20 |