NPI | 1114352267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80505) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW80505) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2020-04-29 |