NPI | 1679956783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95141) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW67810) |
1041C0700X Social Worker, Clinical (Licence: CA ASW67810) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2020-06-23 |