NPI | 1255451605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27415) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 20553) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2012-12-04 |