NPI | 1679974133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87159) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 66743) |
1041C0700X Social Worker, Clinical (Licence: CA 66743) | |
Enumeration Date | 2014-09-15 |
Last Update Date | 2021-03-24 |