NPI | 1285002949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88485) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW72013) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2022-05-02 |