NPI | 1952729295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW105047) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW59524) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2021-11-16 |