| NPI | 1215317466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929403) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-08-17 |