NPI | 1649623547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW104835) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71641) |
104100000X Social Worker (Licence: CA ASW71641) | |
104100000X Social Worker (Licence: CA LSCW104835) | |
Enumeration Date | 2016-07-15 |
Last Update Date | 2022-07-21 |