NPI | 1467932699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60978315) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60978315) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2022-07-18 |