| NPI | 1609167451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.012824) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801104128) |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.09925865) | |
| 1041C0700X Social Worker Clinical (Licence: IN CV21000837) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2021-09-03 |