NPI | 1346725405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110474) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW85710) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2022-09-15 |