NPI | 1619268943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53927) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 53927) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2021-09-27 |