NPI | 1477142818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 127391) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97583) |
1041C0700X Social Worker, Clinical (Licence: CA 97583) | |
Enumeration Date | 2021-01-11 |
Last Update Date | 2024-12-03 |