NPI | 1164702361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85822) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 67938) |
Enumeration Date | 2011-08-19 |
Last Update Date | 2022-05-19 |