NPI | 1598186405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99351) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 36587) |
Enumeration Date | 2013-12-18 |
Last Update Date | 2021-01-26 |