| NPI | 1609024314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-05765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149002811) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW6556) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |