NPI | 1629890637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108693) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 119677) |
Enumeration Date | 2024-10-30 |
Last Update Date | 2024-10-30 |