| NPI | 1124469754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 120025) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149-007762) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2026-08-19 |