NPI | 1730587155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60690802) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60513693) |
Enumeration Date | 2014-12-17 |
Last Update Date | 2021-10-28 |