NPI | 1932319001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60746808) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29103) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2018-03-20 |