| NPI | 1477950608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024565) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 128519) |
| 1041C0700X Social Worker, Clinical (Licence: NC C010984) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 8451-123) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2022-07-06 |