| NPI | 1790325819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105367) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150104215) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149023245) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2021-07-21 |