| NPI | 1134229081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.008764) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-05-04 |