NPI | 1194312017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58346) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-11188) |
Enumeration Date | 2020-12-26 |
Last Update Date | 2020-12-26 |