| NPI | 1205216405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.014900) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006049) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2022-12-13 |