| NPI | 1568001295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017155) |
| 1041C0700X Social Worker, Clinical (Licence: ND 6747) | |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2024-08-15 |