NPI | 1518211994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73570) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW # 34275) |
1041C0700X Social Worker, Clinical (Licence: CA 34275) | |
Enumeration Date | 2012-11-06 |
Last Update Date | 2016-11-10 |