NPI | 1306495445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW119685) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW86820) |
Enumeration Date | 2019-09-11 |
Last Update Date | 2024-01-08 |