| NPI | 1356819528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12345014-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019982) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-05-12 |