| NPI | 1063545580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021254) |
| 1041C0700X Social Worker, Clinical (Licence: WI 2138-123) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-04-14 |