NPI | 1134517600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73557) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11557310-3501) |
1041C0700X Social Worker, Clinical (Licence: CO 09926365) | |
Enumeration Date | 2015-01-06 |
Last Update Date | 2023-10-26 |