| NPI | 1225401011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088775-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.101264) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2020-02-05 |