| NPI | 1063553196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-009839) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2019-10-10 |