NPI | 1972090785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 84078ACSW) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-06-29 |