NPI | 1447698501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60926883) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7835) |
1041C0700X Social Worker, Clinical (Licence: CA LCSW79663) | |
Enumeration Date | 2013-06-11 |
Last Update Date | 2019-09-30 |