NPI | 1629528898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW103634) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-10-11 |
Last Update Date | 2023-01-10 |