NPI | 1326462748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW77562) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 63887) |
Enumeration Date | 2014-02-05 |
Last Update Date | 2020-03-18 |