NPI | 1801349972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 103353) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 84091) | |
104100000X Social Worker (Licence: CA 84091) | |
Enumeration Date | 2016-07-26 |
Last Update Date | 2021-11-05 |