NPI | 1801331202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60448443) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 6755-C) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2021-11-04 |