| NPI | 1346862919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9402) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021490) |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2020-05-17 |