NPI | 1538678008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97274) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW78931) |
Enumeration Date | 2017-09-27 |
Last Update Date | 2020-10-05 |