NPI | 1972098143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018488) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60839581) |
1041C0700X Social Worker, Clinical (Licence: CA ASW87827) | |
1041C0700X Social Worker, Clinical (Licence: CA 104051) | |
Enumeration Date | 2018-06-28 |
Last Update Date | 2025-08-04 |