NPI | 1902261258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88505) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW66779) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2019-05-01 |