| NPI | 1508387325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW19154) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149019439) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-24 |