| NPI | 1821162546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54591) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149009707) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-10-04 |