NPI | 1184065542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 37446) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6488) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2025-05-30 |