NPI | 1528655313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: UT 13398242-3502) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
164X00000X Licensed Vocational Nurse (Licence: CA 692464) | |
Enumeration Date | 2020-12-28 |
Last Update Date | 2023-07-11 |