NPI | 1770258618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117163) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 117163) |
104100000X Social Worker (Licence: CA 117163) | |
Enumeration Date | 2021-08-12 |
Last Update Date | 2024-04-30 |