NPI | 1083278840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67567) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1901438) |
Enumeration Date | 2019-04-26 |
Last Update Date | 2021-03-18 |