| NPI | 1467602334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015906) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2020-10-28 |