NPI | 1669998746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 83990) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 83990) |
Enumeration Date | 2017-08-20 |
Last Update Date | 2020-03-04 |