NPI | 1750695714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77519) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3636) |
1041C0700X Social Worker, Clinical (Licence: VA 0904010155) | |
Enumeration Date | 2010-08-02 |
Last Update Date | 2025-07-23 |