| NPI | 1245528843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007128A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014336) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2015-02-06 |