NPI | 1376822098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 8283071-3501) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 8283071-3501) |
Enumeration Date | 2011-08-11 |
Last Update Date | 2023-07-19 |