NPI | 1356712954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60076) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121295) |
Enumeration Date | 2015-10-08 |
Last Update Date | 2019-02-05 |