NPI | 1467085563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107395) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW91939) |
Enumeration Date | 2020-02-17 |
Last Update Date | 2022-05-11 |