| NPI | 1548840507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021008924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018700) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |