NPI | 1225562952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW92396) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ASW92396) |
101YM0800X Counselor, Mental Health (Licence: CA 92396) | |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-06-12 |