NPI | 1194186403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60746026) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2016-03-14 |
Last Update Date | 2020-03-03 |