NPI | 1154591659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81022) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 32928) |
104100000X Social Worker | |
Enumeration Date | 2008-03-11 |
Last Update Date | 2020-04-20 |