| NPI | 1841547262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68733) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014664) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2022-01-06 |