NPI | 1982721403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4040) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00053123) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2009-04-23 |