NPI | 1447686399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73392) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW33558) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2024-02-22 |