NPI | 1912256603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 63409) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 63409) |
104100000X Social Worker (Licence: CA 63409) | |
Enumeration Date | 2012-09-10 |
Last Update Date | 2022-01-03 |