NPI | 1750755864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67690) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: GA CSW009138) | |
Enumeration Date | 2015-12-01 |
Last Update Date | 2024-11-12 |