| NPI | 1619222056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149023048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 39287) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW21461) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2024-02-06 |