| NPI | 1336388602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149018729) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS28839) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2021-10-06 |