NPI | 1013500412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25803) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111700) |
Enumeration Date | 2021-02-16 |
Last Update Date | 2024-01-26 |