NPI | 1295177582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85972) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 66622) |
Enumeration Date | 2013-07-27 |
Last Update Date | 2021-10-19 |