NPI | 1609547579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108970) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 108970) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2023-06-07 |