| NPI | 1588709729 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10708379-3501) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006313A) | 
| 1041C0700X Social Worker, Clinical (Licence: IL 149011862) | |
| Enumeration Date | 2007-02-21 | 
| Last Update Date | 2023-03-17 |