NPI | 1588802318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108399) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73558) |
174400000X Specialist | |
Enumeration Date | 2009-02-02 |
Last Update Date | 2024-09-20 |