NPI | 1942587126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58995) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015934) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2015-10-12 |