NPI | 1265000665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW101199) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW101199) |
Enumeration Date | 2021-06-14 |
Last Update Date | 2023-11-09 |