NPI | 1427529106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61062695) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60703780) |
Enumeration Date | 2018-12-06 |
Last Update Date | 2021-08-10 |