NPI | 1164780821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128344) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007796) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2025-03-10 |