NPI | 1588896773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60958706) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC60056575) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2024-10-11 |