| NPI | 1508627852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22535) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 116996) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.029595) | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-09-08 |