NPI | 1609242890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61076495) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61076495) |
1041C0700X Social Worker, Clinical (Licence: WA SC 60491944) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2020-10-26 |