| NPI | 1558022301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106632) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 106632) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149029753) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2025-07-31 |