NPI | 1629608450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101311) |
Additional Taxonomies | 104100000X Social Worker (Licence: ASW65431) |
Enumeration Date | 2020-01-21 |
Last Update Date | 2023-06-08 |