NPI | 1215294715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60621424) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: WA LW 60621424) | |
104100000X Social Worker (Licence: WA SC 60343773) | |
1041C0700X Social Worker, Clinical (Licence: WA SC 60343773) | |
Enumeration Date | 2012-04-20 |
Last Update Date | 2024-06-24 |