NPI | 1184123044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW117438) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW79147) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2024-01-08 |