NPI | 1720635428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5635c) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 62551) |
Enumeration Date | 2019-08-19 |
Last Update Date | 2024-03-28 |