| NPI | 1710529813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 106573) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150103967) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2022-02-03 |