NPI | 1962816280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60395446) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW 60395446) |
Enumeration Date | 2014-06-14 |
Last Update Date | 2022-08-19 |