| NPI | 1790297562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66999) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019505) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-02-08 |