NPI | 1265474977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW28260) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R0370701) |
1041C0700X Social Worker, Clinical (Licence: FL SW6435) | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2016-10-24 |