NPI | 1366804049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00009543) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00009543) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2018-03-17 |