NPI | 1497103410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 18264) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA PPSC-Social Work) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2016-05-31 |