NPI | 1194143362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW98959) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW78948) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2021-01-15 |