NPI | 1710147863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LICSW4789) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR LISW2341) |
1041C0700X Social Worker, Clinical (Licence: CA LCS22840) | |
Enumeration Date | 2008-06-12 |
Last Update Date | 2008-06-12 |