NPI | 1497497358 |
---|---|
Former Name | EMILY CHARLOTTE COLTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW118767) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 94525) |
101YM0800X Counselor, Mental Health (Licence: CA 94525) | |
104100000X Social Worker (Licence: CA ASW94525) | |
Enumeration Date | 2022-04-11 |
Last Update Date | 2024-02-20 |