| NPI | 1700111853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009935) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2023-11-21 |