NPI | 1417436635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109700) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84098) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2024-08-09 |