NPI | 1508395880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126497) |
Additional Taxonomies | 172V00000X Community Health Worker |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2024-10-14 |