| NPI | 1255824116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 248.003970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.023836) |
| 1041C0700X Social Worker, Clinical (Licence: TX 109987) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-10-14 |