NPI | 1073718805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 377874-3501) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 377874-3501) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2023-11-03 |