NPI | 1992250070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101759) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW101759) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2022-01-05 |