| NPI | 1568095545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028101) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2025-05-01 |