NPI | 1275960551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107552) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SA61238917) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2024-04-11 |