NPI | 1679038111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108783) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16996) |
1041C0700X Social Worker, Clinical (Licence: MD 31820) | |
1041C0700X Social Worker, Clinical (Licence: VA 0904015053) | |
1041C0700X Social Worker, Clinical (Licence: DC 200001840) | |
Enumeration Date | 2019-02-08 |
Last Update Date | 2024-07-10 |