NPI | 1265775589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW22291) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS22291) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2023-10-19 |