NPI | 1568848638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82948) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW67443) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2019-02-26 |