NPI | 1932577848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 100302) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 72786) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2021-03-01 |