NPI | 1740764836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102614) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW85352) |
Enumeration Date | 2018-09-24 |
Last Update Date | 2023-12-26 |