NPI | 1700943529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 64287) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 13436) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2019-06-13 |