NPI | 1942557764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28747) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078859) |
Enumeration Date | 2012-08-10 |
Last Update Date | 2022-07-22 |