NPI | 1760936421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW113659) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW77764) |
104100000X Social Worker (Licence: CA ASW77764) | |
Enumeration Date | 2016-08-11 |
Last Update Date | 2023-03-14 |