NPI | 1700435435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114833) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92009) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2023-05-05 |