NPI | 1417376773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW69220) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 32647) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2023-11-08 |