NPI | 1265957450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97082) |
Additional Taxonomies | 104100000X Social Worker |
104100000X Social Worker (Licence: CA ASW78270) | |
1041C0700X Social Worker, Clinical (Licence: CA ASW78270) | |
Enumeration Date | 2017-08-08 |
Last Update Date | 2021-01-12 |