NPI | 1487198917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101351) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 10507) |
1041C0700X Social Worker, Clinical (Licence: FL FL16261) | |
Enumeration Date | 2016-12-19 |
Last Update Date | 2023-10-09 |