| NPI | 1417972506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005703A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-011229) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-07-21 |