NPI | 1942746128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW91970) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-01-12 |
Last Update Date | 2019-11-15 |