NPI | 1679008163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60748476) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7044) |
Enumeration Date | 2017-04-22 |
Last Update Date | 2017-09-13 |