NPI | 1720551799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 118673) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW95424) |
1041C0700X Social Worker, Clinical (Licence: CA ASW95424) | |
Enumeration Date | 2019-01-02 |
Last Update Date | 2024-07-23 |