NPI | 1275936817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83458) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW62315) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2023-12-05 |