NPI | 1063630689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006430) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3216) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2016-12-07 |