NPI | 1831117209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW28137) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2006-07-17 |
Last Update Date | 2019-05-16 |