NPI | 1487010567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60896517) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 69665) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2022-06-01 |