NPI | 1407508757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78032) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 213478) |
Enumeration Date | 2022-01-18 |
Last Update Date | 2023-06-13 |