NPI | 1982987491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61352705) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS27119) |
1041C0700X Social Worker, Clinical (Licence: OR L13863) | |
Enumeration Date | 2011-09-21 |
Last Update Date | 2024-03-27 |