NPI | 1790505063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61683033) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61327043) |
Enumeration Date | 2024-10-11 |
Last Update Date | 2025-06-13 |