NPI | 1669029039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110767) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91163) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2023-09-26 |