NPI | 1548857998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW123702) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW98239) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2020-12-30 |
Last Update Date | 2024-08-30 |