NPI | 1629418876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87405) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 36752) |
104100000X Social Worker (Licence: CA 36752) | |
101Y00000X Counselor (Licence: CA 36752) | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2019-02-11 |