NPI | 1538612205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97598) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 79566) | |
104100000X Social Worker (Licence: CA 79566) | |
Enumeration Date | 2016-07-29 |
Last Update Date | 2020-10-20 |