NPI | 1720560840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107953) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107953) |
101YM0800X Counselor, Mental Health (Licence: CA 90922) | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2022-05-09 |