NPI | 1154410447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59363) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL Sw10777) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2021-03-11 |