NPI | 1922154251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107811) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1641) |
104100000X Social Worker | |
Enumeration Date | 2007-01-27 |
Last Update Date | 2024-12-16 |