NPI | 1235410085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 12413) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS12413) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2018-03-17 |