| NPI | 1093131906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09924961) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.016009) |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2017-08-28 |