NPI | 1700154473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85643) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66790) |
Enumeration Date | 2011-12-08 |
Last Update Date | 2018-10-09 |