| NPI | 1093038622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 66370) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2021-12-30 |