NPI | 1962947457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106718) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW74764) |
101YM0800X Counselor, Mental Health (Licence: CA ASW74764) | |
104100000X Social Worker (Licence: CA ASW74764) | |
Enumeration Date | 2016-12-20 |
Last Update Date | 2022-02-25 |