NPI | 1386168672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 92198) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 92198) | |
Enumeration Date | 2017-07-28 |
Last Update Date | 2022-07-19 |