NPI | 1700354263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW104670) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 82941) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2022-03-02 |