NPI | 1871963512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92728) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW68329) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2019-11-01 |