NPI | 1124404298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW121390) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ASW91711) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2024-07-12 |