NPI | 1780432351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-40460) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW66626) |
Enumeration Date | 2024-05-09 |
Last Update Date | 2024-05-09 |