NPI | 1346092095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61506240) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60717516) |
Enumeration Date | 2024-04-04 |
Last Update Date | 2024-07-02 |