NPI | 1376829663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104834) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77846) |
Enumeration Date | 2011-10-31 |
Last Update Date | 2024-08-13 |