NPI | 1265608632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81120) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW61631) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2024-09-23 |