NPI | 1609442896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65212) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 14699) |
Enumeration Date | 2021-05-28 |
Last Update Date | 2022-09-09 |