NPI | 1144757204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76717) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 76717) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2022-07-21 |