| NPI | 1891243655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68751) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021029) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-05-27 |