NPI | 1679737415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4760125-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN CSW0000007453) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-11-18 |