NPI | 1093352635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115039) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 7505-C) |
Enumeration Date | 2019-12-03 |
Last Update Date | 2024-06-30 |