NPI | 1790153666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LCSW91756) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW 72380) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2019-12-02 |