NPI | 1801104948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86496) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 34528) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2010-09-23 |
Last Update Date | 2024-10-15 |