NPI | 1194319988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61448322) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61448322) |
1041C0700X Social Worker, Clinical (Licence: WA SC61132747) | |
Enumeration Date | 2021-02-23 |
Last Update Date | 2023-10-23 |