NPI | 1801460407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 110248) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021003367) |
Enumeration Date | 2021-05-18 |
Last Update Date | 2023-11-02 |