NPI | 1215241971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60502155) |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical (Licence: ID LCSW-37405) | |
1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-50590) | |
Enumeration Date | 2010-08-04 |
Last Update Date | 2023-05-17 |