NPI | 1740586072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW75272) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-02-03 |
Last Update Date | 2017-01-10 |