NPI | 1396286340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95833) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW75112) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2021-06-09 |