NPI | 1972902864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60627693) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L8534) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2024-07-03 |