| NPI | 1598939308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2005029299) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011723) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2012-08-14 |