| NPI | 1720853369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149020469) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 66789) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2024-01-10 |