| NPI | 1285076745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019010285) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020969) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-07-23 |