NPI | 1881164432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23103) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54488) |
Enumeration Date | 2018-11-27 |
Last Update Date | 2018-11-27 |