NPI | 1548704752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 72116) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041S0200X Social Worker, School (Licence: CA ACSW72116) | |
Enumeration Date | 2016-12-06 |
Last Update Date | 2020-12-30 |