| NPI | 1497811988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-008390) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60801996) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-01-31 |