NPI | 1417417296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW106513) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCSW106513) |
104100000X Social Worker | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2024-07-22 |