NPI | 1205338639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW113153) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW106131) |
101YM0800X Counselor, Mental Health (Licence: CA 69847) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2018-03-01 |
Last Update Date | 2023-02-28 |