NPI | 1528019551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5840C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63534) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2025-03-17 |