| NPI | 1083189070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 99216) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2021-03-16 |