NPI | 1790429090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW115258) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-11866) |
1041C0700X Social Worker, Clinical (Licence: ID LCSW-42692) | |
Enumeration Date | 2022-04-22 |
Last Update Date | 2025-05-25 |