NPI | 1689349367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW111027) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW111027) |
1041S0200X Social Worker, School (Licence: CA ASW111027) | |
Enumeration Date | 2021-08-13 |
Last Update Date | 2023-06-20 |