| NPI | 1508624479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-007576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112269) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |