NPI | 1720384704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28525) |
Additional Taxonomies | 104100000X Social Worker (Licence: NV 5506-S) |
1041C0700X Social Worker, Clinical (Licence: NV 8771-C) | |
Enumeration Date | 2011-02-08 |
Last Update Date | 2022-12-12 |