NPI | 1801330634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12632358-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW4416) |
1041C0700X Social Worker, Clinical (Licence: NC C017543) | |
Enumeration Date | 2016-12-13 |
Last Update Date | 2025-01-02 |