NPI | 1497005789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88073) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW63176) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2019-04-11 |