NPI | 1821720699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61211051) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW7359T) |
Enumeration Date | 2022-06-29 |
Last Update Date | 2022-08-03 |