NPI | 1548638208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106564) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW73135) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2024-07-11 |