NPI | 1578302659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67894) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: FL SW25007) | |
1041C0700X Social Worker, Clinical (Licence: LA 19196) | |
Enumeration Date | 2024-05-20 |
Last Update Date | 2025-08-16 |