NPI | 1699137091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9489234-3502) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 94892343501) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2024-05-16 |