NPI | 1972090785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125395ASW) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84078ACSW) |
1041C0700X Social Worker, Clinical | |
1041C0700X Social Worker, Clinical | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2024-10-03 |