NPI | 1649300088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110465) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW31244) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2024-10-12 |