| NPI | 1629401120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015559) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60948) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2025-05-05 |