NPI | 1023203437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15651) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS74679) |
Enumeration Date | 2007-09-09 |
Last Update Date | 2024-07-01 |