NPI | 1417077561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW21317) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW#21317) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2022-09-14 |