| NPI | 1437592052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925492) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2019-05-07 |