NPI | 1801369053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105679) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041S0200X Social Worker, School | |
Enumeration Date | 2019-01-09 |
Last Update Date | 2022-07-20 |