| NPI | 1265524649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 2859-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149005598) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-05-06 |