NPI | 1821576828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104102) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA 81461) | |
104100000X Social Worker (Licence: CA 81461) | |
Enumeration Date | 2018-08-01 |
Last Update Date | 2022-06-02 |