NPI | 1659480168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004558) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11294) |
1041C0700X Social Worker, Clinical (Licence: TX 5001) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2024-05-01 |