NPI | 1053731265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67540) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2014-04-27 |
Last Update Date | 2021-09-23 |