NPI | 1316275605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW75163) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW27154) |
Enumeration Date | 2009-11-24 |
Last Update Date | 2016-12-29 |