NPI | 1730638131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112500) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
1041C0700X Social Worker, Clinical (Licence: OK 20105) | |
Enumeration Date | 2016-09-26 |
Last Update Date | 2023-02-20 |