NPI | 1851603328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109849) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW79774) |
104100000X Social Worker (Licence: CA LCSW109849) | |
104100000X Social Worker (Licence: CA ASW79774) | |
Enumeration Date | 2010-07-12 |
Last Update Date | 2022-09-16 |