| NPI | 1215965140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149009865) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-03 |