| NPI | 1538481932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54201) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.013695) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2024-02-21 |