| NPI | 1184034662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018259) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927523) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2023-06-23 |