NPI | 1386194546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108019) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79040) |
104100000X Social Worker (Licence: CA 79040) | |
Enumeration Date | 2016-10-11 |
Last Update Date | 2022-05-11 |