| NPI | 1629176334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149004072) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-02-20 |