| NPI | 1659579696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012263) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-08-11 |