NPI | 1962127183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126557) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111554) |
101YM0800X Counselor, Mental Health (Licence: IL 150105605) | |
104100000X Social Worker | |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-10-07 |