| NPI | 1023164183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149001956) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-01-29 |