NPI | 1447925896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122284) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90180) |
1041C0700X Social Worker, Clinical (Licence: CA 90180) | |
Enumeration Date | 2021-08-09 |
Last Update Date | 2024-09-27 |