NPI | 1700018348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60736577) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60736577) |
Enumeration Date | 2009-08-16 |
Last Update Date | 2018-03-19 |