NPI | 1366069189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW103559) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW103559) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2023-12-13 |