NPI | 1548741077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103561) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1802585) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2021-01-18 |