NPI | 1265961718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92892) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2017-06-08 |
Last Update Date | 2020-07-29 |