NPI | 1982612388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63485) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4440) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2023-01-26 |