NPI | 1417125949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94328) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 0969-2348C) |
1041C0700X Social Worker, Clinical (Licence: TX 28618) | |
Enumeration Date | 2008-02-19 |
Last Update Date | 2024-07-18 |