NPI | 1811497027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW76155) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 76155) |
Enumeration Date | 2018-02-14 |
Last Update Date | 2024-08-21 |