NPI | 1457004434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106959) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: TX 106959) |
Enumeration Date | 2022-01-31 |
Last Update Date | 2025-04-03 |