NPI | 1043485857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58506) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5208-C) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09926552) | |
Enumeration Date | 2008-04-23 |
Last Update Date | 2022-04-18 |