NPI | 1538908249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 14220087-6009) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-10554) |
Enumeration Date | 2024-05-22 |
Last Update Date | 2025-08-19 |