NPI | 1346558772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117856) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 82093) |
1041C0700X Social Worker, Clinical | |
101YM0800X Counselor, Mental Health (Licence: CA 82093) | |
Enumeration Date | 2010-09-20 |
Last Update Date | 2023-10-11 |