NPI | 1255693933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW75174) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW36831) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2022-04-06 |