NPI | 1124434857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: TX 57333) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57333) |
Enumeration Date | 2014-07-02 |
Last Update Date | 2023-02-13 |