| NPI | 1558775312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 11816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014043) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-02-26 |