NPI | 1164908752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61352054) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61352054) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2018-07-17 |
Last Update Date | 2022-11-26 |