NPI | 1639284011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS12509) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS12509) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2011-10-14 |