NPI | 1700316783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106721) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 70263) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2022-03-21 |