| NPI | 1306147368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2010038266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014369) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2017-03-13 |