NPI | 1265572002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61483) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-02-08 |
Last Update Date | 2019-08-12 |