NPI | 1801565833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109821) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-09-13 |
Last Update Date | 2022-08-29 |