NPI | 1134840895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105755) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW105755) |
Enumeration Date | 2022-09-09 |
Last Update Date | 2023-09-20 |