NPI | 1437801339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW105177) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW105177) |
Enumeration Date | 2022-01-21 |
Last Update Date | 2023-06-26 |