NPI | 1265139083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110903) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014886) |
1041C0700X Social Worker, Clinical (Licence: DC LC200001869) | |
Enumeration Date | 2023-02-13 |
Last Update Date | 2024-10-16 |