NPI | 1376982827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW80560) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW 64962) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2017-11-21 |