NPI | 1992283360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61625959) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24812) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2025-05-20 |