NPI | 1205163193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60838119) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00054513) |
Enumeration Date | 2009-11-12 |
Last Update Date | 2023-04-14 |