| NPI | 1134721624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017022532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019342) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |