NPI | 1689307209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120458) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 120186) |
Enumeration Date | 2022-07-01 |
Last Update Date | 2025-05-19 |