NPI | 1316316888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107958) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW68236) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2022-07-15 |