NPI | 1225267032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60166679) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60020358) |
Enumeration Date | 2009-07-14 |
Last Update Date | 2012-10-23 |