NPI | 1740875301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61641983) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L11735) |
Enumeration Date | 2021-03-05 |
Last Update Date | 2025-04-16 |