NPI | 1932508538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 28641) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16708) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09927649) | |
Enumeration Date | 2014-08-19 |
Last Update Date | 2023-10-27 |