NPI | 1619640737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW109087) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-07-26 |
Last Update Date | 2023-05-23 |