| NPI | 1154600393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014978) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2017-11-15 |