| NPI | 1598344194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 114432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149025824) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-01-02 |