NPI | 1770720104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73390) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ASW 25203) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2020-02-03 |