NPI | 1487307054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT114211) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 114211) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2022-02-02 |
Last Update Date | 2023-06-13 |