NPI | 1316514748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122142) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041S0200X Social Worker, School | |
Enumeration Date | 2021-06-04 |
Last Update Date | 2024-09-06 |