NPI | 1881160836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112723) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW86151) |
Enumeration Date | 2018-10-17 |
Last Update Date | 2023-01-11 |