NPI | 1194231027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109693) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW72220) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2023-03-30 |