NPI | 1285256800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11275798-3501) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-05-18 |
Last Update Date | 2025-05-30 |