NPI | 1144626102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85563) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 32479) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2021-07-21 |