NPI | 1992207484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61110629) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: WA SC61110629) | |
106S00000X Behavior Technician | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-01 |
Last Update Date | 2022-08-10 |