NPI | 1760019525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122358) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 86053) |
104100000X Social Worker (Licence: CA 86053) | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2024-09-10 |