NPI | 1558896308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108769) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 108769) |
101YM0800X Counselor, Mental Health (Licence: CA 70310) | |
Enumeration Date | 2017-04-28 |
Last Update Date | 2024-07-11 |