NPI | 1598285025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11115847-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926230) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2021-02-08 |