| NPI | 1609299981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8803) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149015847) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2019-07-19 |