NPI | 1497104319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60976186) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60976186) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2020-09-08 |