| NPI | 1861998437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67017) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018575) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2021-07-21 |