NPI | 1124482161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61313221) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-04-06 |
Last Update Date | 2025-08-28 |