NPI | 1164994653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW125841) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 91836) |
Enumeration Date | 2018-12-20 |
Last Update Date | 2024-10-28 |