NPI | 1881167708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61531902) |
Additional Taxonomies | 103K00000X Behavior Analyst |
104100000X Social Worker (Licence: OH S.191071-TRNE) | |
104100000X Social Worker (Licence: OH S.2004832) | |
1041C0700X Social Worker, Clinical (Licence: WA SC61459263) | |
Enumeration Date | 2019-01-03 |
Last Update Date | 2024-07-18 |