NPI | 1467826222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86730) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW67931) |
Enumeration Date | 2015-11-17 |
Last Update Date | 2019-04-24 |