NPI | 1609904713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60196792) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR l3200) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-10-09 |