NPI | 1225158967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4753056-3502) |
Additional Taxonomies | 101Y00000X Counselor (Licence: UT 4753056-3502) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2024-04-23 |