NPI | 1558667659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76113) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 007292) |
101YM0800X Counselor, Mental Health (Licence: CA 30472) | |
Enumeration Date | 2011-02-07 |
Last Update Date | 2021-08-02 |