NPI | 1215675731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108834) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 108834) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2022-05-24 |
Last Update Date | 2023-06-06 |