NPI | 1225380488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW79902) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW59855) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2019-02-08 |