NPI | 1780103630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122281) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW89111) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2024-05-01 |