NPI | 1902526536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 110570) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 110570) |
101YM0800X Counselor Mental Health (Licence: CA ASW110570) | |
Enumeration Date | 2022-09-01 |
Last Update Date | 2023-12-29 |