NPI | 1649722083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1073) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65257) |
1041C0700X Social Worker, Clinical (Licence: MI 6801114294) | |
Enumeration Date | 2016-11-02 |
Last Update Date | 2024-11-26 |