NPI | 1942796727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105623) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83238) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2021-11-22 |