NPI | 1013282599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69448) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 14551) |
1041C0700X Social Worker, Clinical (Licence: CA 30287) | |
Enumeration Date | 2012-03-15 |
Last Update Date | 2023-04-13 |