NPI | 1265070239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12578278-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112393) |
1041C0700X Social Worker, Clinical (Licence: CA 127982) | |
Enumeration Date | 2019-12-20 |
Last Update Date | 2025-01-02 |