NPI | 1619521952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121319) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: CA ASW89829) | |
Enumeration Date | 2019-07-25 |
Last Update Date | 2024-03-01 |