NPI | 1972056836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102531) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW77779) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2021-11-24 |