NPI | 1255858965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100460) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW77753) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2023-02-23 |