NPI | 1730620535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02698) |
Enumeration Date | 2017-03-13 |
Last Update Date | 2024-04-12 |