NPI | 1184747792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 60529) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA ASW 26325) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2019-11-02 |