| NPI | 1154568103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006948A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.011290) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60713142) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2016-12-21 |