NPI | 1134595937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108299) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW78362) |
Enumeration Date | 2015-08-15 |
Last Update Date | 2023-05-26 |