NPI | 1609326867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW119232) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW83955) |
101Y00000X Counselor | |
Enumeration Date | 2016-10-11 |
Last Update Date | 2023-11-15 |