NPI | 1265163018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42356) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LICSW) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2022-06-22 |