| NPI | 1073139358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 101112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019883) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-07-28 |