NPI | 1184034662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69314) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018259) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09927523) | |
Enumeration Date | 2014-05-06 |
Last Update Date | 2023-06-23 |