NPI | 1790121572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74343) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36327) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2019-08-19 |