NPI | 1477982601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60883211) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60419705) |
1041C0700X Social Worker, Clinical (Licence: WA 60613841) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2021-06-05 |