| NPI | 1366749053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007047A) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.012567) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2023-03-20 |