NPI | 1942383427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50563) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110823) |
1041C0700X Social Worker, Clinical (Licence: NV 9859-c) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-03-17 |