NPI | 1871012641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102087) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
225400000X Rehabilitation Practitioner | |
1041C0700X Social Worker, Clinical (Licence: CA ACSW83295) | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2024-01-31 |