| NPI | 1497421481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 107048) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149023664) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-11-20 |