| NPI | 1114278157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110849) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.019033) |
| 1041C0700X Social Worker, Clinical (Licence: WI 9464-123) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-09-05 |