NPI | 1124498043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW69759) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 69759) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2024-09-30 |