NPI | 1457546350 |
---|---|
Former Name | MAUREEN HUMBOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60655887) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60655887) |
1041C0700X Social Worker, Clinical (Licence: WA SC60655887) | |
Enumeration Date | 2007-09-13 |
Last Update Date | 2022-02-03 |