NPI | 1740775568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121273) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 090798) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2025-09-08 |