NPI | 1811566409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60877309) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 8707-123) |
Enumeration Date | 2021-06-18 |
Last Update Date | 2023-02-25 |