NPI | 1790194520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104040) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4395) |
1041C0700X Social Worker, Clinical (Licence: CT LCSW-009501) | |
Enumeration Date | 2014-08-06 |
Last Update Date | 2023-11-02 |