NPI | 1992932065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW61053) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW35537) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2015-11-23 |