NPI | 1740467588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW84860) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: CA ASW75014) | |
104100000X Social Worker (Licence: CA ASW 29691) | |
Enumeration Date | 2008-01-23 |
Last Update Date | 2018-08-29 |