NPI | 1609153584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95009) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 32134) |
Enumeration Date | 2011-11-07 |
Last Update Date | 2021-01-14 |