NPI | 1932459336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS23146) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS23146) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2022-02-14 |