NPI | 1730635210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91128) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 72765) |
101YM0800X Counselor, Mental Health (Licence: CA 72765) | |
Enumeration Date | 2016-08-25 |
Last Update Date | 2020-04-15 |