NPI | 1164035788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW125834) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW97483) |
104100000X Social Worker (Licence: CA LCSW125834) | |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-09-17 |