NPI | 1326763426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928517) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61314283) |
Enumeration Date | 2022-10-11 |
Last Update Date | 2022-10-11 |