NPI | 1134789886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122646) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 97884) |
104100000X Social Worker (Licence: CA 97884) | |
Enumeration Date | 2019-06-15 |
Last Update Date | 2024-07-07 |