NPI | 1902097348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS25742) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW19707) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2021-07-15 |