NPI | 1225655129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW121933) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
104100000X Social Worker (Licence: CA ASW103850) | |
Enumeration Date | 2020-06-26 |
Last Update Date | 2024-04-18 |