| NPI | 1336378207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2007036366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012171) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2023-01-06 |