| NPI | 1558714717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW14382) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34007569A) |
| 1041C0700X Social Worker Clinical (Licence: IL 149.018493) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2019-04-18 |