NPI | 1760916639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60557162) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW60557162) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2023-08-16 |