NPI | 1609487172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 94781) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: CA 94781) | |
1041C0700X Social Worker, Clinical (Licence: CA 115644) | |
Enumeration Date | 2020-08-10 |
Last Update Date | 2023-06-30 |