| NPI | 1558762724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007048A) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2023-05-13 |