NPI | 1679026470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92280) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW66963) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2019-10-16 |