NPI | 1528471372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61223201) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55028) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2022-09-29 |