NPI | 1770106437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17586) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 11998-C) |
1041C0700X Social Worker, Clinical (Licence: TX 107381) | |
Enumeration Date | 2020-05-28 |
Last Update Date | 2025-09-05 |