NPI | 1881025989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW111771) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92942) |
101YM0800X Counselor, Mental Health (Licence: CA ASW92942) | |
104100000X Social Worker (Licence: CA ASW59812) | |
Enumeration Date | 2013-11-29 |
Last Update Date | 2022-11-25 |