NPI | 1275096711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96316) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77691) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2020-09-16 |