NPI | 1316394182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW89091) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LMSW-15322) |
1041C0700X Social Worker Clinical (Licence: CA ASW70789) | |
Enumeration Date | 2016-05-20 |
Last Update Date | 2020-06-11 |