| NPI | 1073175584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104178) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2022-05-27 |