NPI | 1508230624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61435243) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004830) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2025-01-09 |