NPI | 1962012351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 108388) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 108388) |
101YM0800X Counselor, Mental Health (Licence: CA 108388) | |
Enumeration Date | 2020-07-31 |
Last Update Date | 2023-11-06 |