NPI | 1366124463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61452757) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW09929294) |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-07 |