NPI | 1124374947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW72982) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-07-30 |
Last Update Date | 2017-04-05 |