NPI | 1679907604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW94669) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW67486) |
1041S0200X Social Worker School (Licence: CA ASW67486) | |
Enumeration Date | 2013-08-27 |
Last Update Date | 2020-05-05 |