NPI | 1558867325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107119) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83963) |
1041C0700X Social Worker, Clinical (Licence: CA 83963) | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2022-03-09 |