NPI | 1588119143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60947773) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 111488) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2021-07-02 |