NPI | 1437522620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW29097) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW29097) |
1041S0200X Social Worker, School (Licence: CA LCSW29097) | |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |