| NPI | 1396166492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 11818566-3501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 150.014503) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2025-05-09 |