NPI | 1003296039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW79804) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW62270) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2024-04-12 |