NPI | 1235500091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111168) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89378) |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2015-10-19 |
Last Update Date | 2023-01-09 |