NPI | 1497041289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW67163) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 30786) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2015-07-22 |