NPI | 1750973590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW126595) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22548) |
1041C0700X Social Worker, Clinical (Licence: TX 107931) | |
1041C0700X Social Worker, Clinical (Licence: NV 10622-C) | |
1041C0700X Social Worker, Clinical (Licence: CA LCSW126595) | |
Enumeration Date | 2021-02-03 |
Last Update Date | 2025-04-29 |