NPI | 1417597535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW105642) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW105642) |
103K00000X Behavior Analyst | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2020-01-07 |
Last Update Date | 2023-06-19 |