NPI | 1922497478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW62126) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2020-11-19 |