NPI | 1992394076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW119183) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW119183) |
101YM0800X Counselor, Mental Health (Licence: CA ASW84617) | |
104100000X Social Worker (Licence: CA ASW84617) | |
Enumeration Date | 2021-01-13 |
Last Update Date | 2024-03-28 |