NPI | 1811982697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27772) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 51236033501) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2016-12-05 |