NPI | 1346571387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81813) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical (Licence: IL 149.018875) | |
Enumeration Date | 2010-01-14 |
Last Update Date | 2020-05-14 |