| NPI | 1275938540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 15079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.004472) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |