NPI | 1255485751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 36992) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00041301) |
1041C0700X Social Worker Clinical (Licence: OR 4874-LCSW) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2014-11-06 |