| NPI | 1467096370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 149020165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020165) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |