| NPI | 1336450451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014910) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-07-08 |