NPI | 1487087854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90523) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36388) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2019-08-02 |