NPI | 1871773655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60174188) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00052697) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2021-05-18 |