| NPI | 1003857079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023194) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-02-09 |