NPI | 1326557471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61401524) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009267) |
Enumeration Date | 2017-09-20 |
Last Update Date | 2025-06-17 |