| NPI | 1235630880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020012397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021922) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2020-12-09 |