NPI | 1316313612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101626) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW66906) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2024-01-26 |