NPI | 1629336557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71618) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 33545) |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2012-04-29 |
Last Update Date | 2023-01-31 |