NPI | 1134703382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121046) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103561) |
Enumeration Date | 2021-05-12 |
Last Update Date | 2024-08-20 |