NPI | 1306404561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122391) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW95957) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2024-05-13 |