| NPI | 1134691066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62325) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018155) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-06-29 |