| NPI | 1407129471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015073) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-05-10 |