NPI | 1417476334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64693) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 64693) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2021-10-25 |