| NPI | 1184917304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2009007778) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149009454) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2019-04-01 |