NPI | 1164882940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW78087) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62480) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2024-07-01 |