NPI | 1023635620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94896) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 94896) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |