NPI | 1285054353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924245) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 28743) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-03-19 |