NPI | 1780202036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124031) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96099) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2025-05-22 |