| NPI | 1104318567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019994) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2019-02-12 |