NPI | 1043765399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60907034) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60775148) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2019-03-13 |