| NPI | 1164153631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149023825) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 36050) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-11-09 |