NPI | 1730651266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW93117) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW74396) |
Enumeration Date | 2018-12-21 |
Last Update Date | 2022-09-06 |