| NPI | 1942587126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 58995) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.015934) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2015-10-12 |