NPI | 1972899078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107901) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-07500) |
1041C0700X Social Worker, Clinical (Licence: NM I-08435) | |
Enumeration Date | 2011-06-27 |
Last Update Date | 2024-01-10 |