NPI | 1154662328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109284) |
172V00000X Community Health Worker (Licence: CA 109284) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2013-03-12 |
Last Update Date | 2023-06-13 |