NPI | 1063068443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115546) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 88768) |
1041C0700X Social Worker, Clinical (Licence: NY 088559-01) | |
104100000X Social Worker (Licence: CA ASW88768) | |
Enumeration Date | 2019-08-12 |
Last Update Date | 2023-05-31 |