NPI | 1184378143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 63773) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2022-02-08 |
Last Update Date | 2024-01-23 |