NPI | 1720531585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW71155) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61024842) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2022-08-29 |