NPI | 1699121749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92666) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW74739) |
Enumeration Date | 2016-05-08 |
Last Update Date | 2021-02-17 |