NPI | 1528198231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86942) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083924-1) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2019-02-09 |