NPI | 1649089517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62051) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1302) |
Enumeration Date | 2025-01-04 |
Last Update Date | 2025-01-04 |