NPI | 1588063937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW61818) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW61818) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2015-12-04 |