NPI | 1912452905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87135) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06170900) |
104100000X Social Worker (Licence: CA 87135) | |
101Y00000X Counselor | |
Enumeration Date | 2016-08-18 |
Last Update Date | 2022-02-21 |