NPI | 1215308408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81338) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW33616) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2018-01-23 |