NPI | 1528342953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68433) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW31223) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2021-04-23 |