NPI | 1306194543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28670) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 5925) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2022-08-11 |