NPI | 1952829970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW72275) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014806) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2017-08-30 |