NPI | 1528846136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61482315) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW18786) |
Enumeration Date | 2023-09-15 |
Last Update Date | 2023-09-21 |