NPI | 1124565197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW121388) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW99384) |
1041C0700X Social Worker, Clinical (Licence: CA ASW99384) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2024-10-23 |