NPI | 1962871681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60992901) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
104100000X Social Worker | |
Enumeration Date | 2015-09-23 |
Last Update Date | 2020-10-26 |