| NPI | 1124609920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.009295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006770) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |