NPI | 1306270400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85335) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62099) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2018-09-17 |