NPI | 1548449044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW59640) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 26891) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2013-11-18 |