NPI | 1174824460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW68663) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 31287) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2020-11-21 |