NPI | 1184356057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 59582) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 59582) |
Enumeration Date | 2022-06-28 |
Last Update Date | 2023-04-19 |