NPI | 1336410265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 77364043502) |
Additional Taxonomies | 104100000X Social Worker (Licence: UT 77364043502) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2023-04-20 |