NPI | 1306366125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100231) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-06-22 |
Last Update Date | 2022-07-21 |