| NPI | 1407224561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008034490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025654) |
| 1041C0700X Social Worker, Clinical (Licence: OR L7999) | |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2024-07-09 |