NPI | 1952099319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61589378) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 133049) |
Enumeration Date | 2023-04-25 |
Last Update Date | 2025-01-22 |