NPI | 1104297928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127798) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4020) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2024-12-23 |