NPI | 1831242296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11144) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015785) |
1041C0700X Social Worker, Clinical (Licence: TX 107664) | |
1041C0700X Social Worker, Clinical (Licence: AZ LCSW2353) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2024-10-01 |