NPI | 1497010102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83453) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092489) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2025-08-07 |