NPI | 1770095531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102113) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 64402) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2021-07-13 |