NPI | 1457587081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102752) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW69635) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2009-06-10 |
Last Update Date | 2024-06-17 |