NPI | 1659756674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63347) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005389) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2024-09-09 |