| NPI | 1164935532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019508) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108168) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927175) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-11-02 |