NPI | 1316467533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101644) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78208) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2022-12-12 |