NPI | 1194072009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60294654) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60152357) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2012-08-09 |