NPI | 1417464009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88151) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC .12277) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2023-10-27 |