NPI | 1609246149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 20292) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 20292) |
Enumeration Date | 2015-09-27 |
Last Update Date | 2015-09-27 |