NPI | 1548703598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8474) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67415) |
1041C0700X Social Worker, Clinical (Licence: FL SW14079) | |
Enumeration Date | 2016-11-23 |
Last Update Date | 2023-10-09 |