NPI | 1184192338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61035334) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60442300) |
101YM0800X Counselor, Mental Health (Licence: WA LW61035334) | |
Enumeration Date | 2018-11-06 |
Last Update Date | 2022-06-07 |