NPI | 1912332388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA IMF67619) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF67619) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2018-03-17 |