NPI | 1194367524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104781) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-10-17 |
Last Update Date | 2023-09-14 |