NPI | 1972037646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98189) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98189) |
172V00000X Community Health Worker | |
Enumeration Date | 2017-04-19 |
Last Update Date | 2021-07-13 |