NPI | 1104451970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43205) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-43205) |
104100000X Social Worker (Licence: WA LMSW-30939) | |
Enumeration Date | 2020-03-11 |
Last Update Date | 2023-04-02 |