NPI | 1710769286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097802) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 107675) |
Enumeration Date | 2023-10-18 |
Last Update Date | 2024-08-27 |