NPI | 1083388821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101209) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 9992-C) |
Enumeration Date | 2021-08-05 |
Last Update Date | 2024-02-20 |