NPI | 1992360200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13170) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60768028) |
Enumeration Date | 2019-05-02 |
Last Update Date | 2023-04-25 |