NPI | 1467718262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60552140) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60134633) |
101YM0800X Counselor, Mental Health (Licence: WA HP60252233) | |
1041C0700X Social Worker, Clinical (Licence: WA SC60263869) | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2020-05-28 |