NPI | 1104009190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122908) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 321335-3501) |
1041C0700X Social Worker, Clinical (Licence: FL SW21250) | |
Enumeration Date | 2007-12-12 |
Last Update Date | 2025-07-10 |