NPI | 1720362718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50478) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 50478) |
104100000X Social Worker (Licence: TX 50478) | |
171M00000X Case Manager/Care Coordinator (Licence: TX 50478) | |
Enumeration Date | 2011-10-07 |
Last Update Date | 2024-11-18 |