| NPI | 1255793774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69253) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020305) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2020-04-16 |