NPI | 1316356595 |
---|---|
Former Name | SHANNA DULIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60777187) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SW60556739) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2022-07-21 |