NPI | 1235618075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104732) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0009921285) |
1041C0700X Social Worker, Clinical (Licence: CO 09926794) | |
Enumeration Date | 2018-08-13 |
Last Update Date | 2024-12-03 |